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Author Topic: At what Creatinine level / GFR do you normally start dialysis??  (Read 35143 times)
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Angie
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« on: October 22, 2008, 01:54:26 AM »

I was wondering this as I think it was asked before.

Share your insight!

I know I first had to go on dialysis when my Creatinine was 600umol/L which is 6.8mg/dl. I did not know my GFR as they don't focus on that in Canada.

On KidneySpace they were saying Normally, the start time for dialysis is when your creatinine reaches about an 8mg/dl. You would have around a 12% GFR give or take a bit. (When I calculated the GFR from an 8mg/dl creatinine using the DaVita GFR Calculator I got GFR = 7     Stage 5 CKD.)

That creatinine is much higher than when I started dialysis at the age of 16. Maybe they start later now? That would be 707umol/L. 
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« Reply #1 on: October 22, 2008, 07:59:12 AM »

Creatinine as a measure of kidney function is dependent upon your height, weight, age, gender and race.  My creatinine is just under 4.0 - not earthshattering by most standards.  But I am small boned and weigh only 100 pounds - so my GFR is 12%. 

My neph said dialysis must begin when your GFR is <10% and you should begin preparing for dialysis if your GFR is <15%.  You can be tested to get onto the transplant list in most places when your GFR is <20%. 
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« Reply #2 on: October 22, 2008, 11:16:26 AM »

Ya that makes sense! That is what I read about Creatinine and have here:

Creatinine is formed as the end-product of creatine metabolism and is filtered
through the kidney. It is usually produced at a fairly constant rate which is
why its clearance can be used to estimate kidney function. The baseline
creatinine level tends to be higher in those with larger muscle mass ( believe
this is the reason for the correction factor in the estimated GFR equation for
women vs. men).
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« Reply #3 on: October 22, 2008, 03:22:14 PM »

I started dialysis with a creatinine of 7 something, but my GFR was 8.
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« Reply #4 on: October 29, 2008, 01:41:59 PM »

I know the normal table for each stage (USA) says this:

GFR in Each Stage of Chronic Kidney Disease

Stage Kidney Function GFR (mL/min/1.73 m2)    
Stage 1    Stage 2    Stage 3    Stage 4    Stage 5
Normal More than 90
(but exhibiting risk factors):    
Stage 1 Normal or increased More than 90 (with kidney damage    Stage 2 Mild decrease 60 to 89    Stage 3 Moderate decrease 30 to 59    Stage 4 Severe decrease 15 to 29    Stage 5 Kidney failure Less than 15
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« Reply #5 on: August 02, 2010, 01:51:53 PM »

Was just in to see my Dr.on Friday.  I am now Stage 4 with a GFR of 27.  She states she would put me on Dialysis when my GFR reached 11.  So I guess it all depends upon the Dr. & the circumstances.  Hopefully, that will be along time  from now.  Carol Praying
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« Reply #6 on: August 02, 2010, 07:43:49 PM »

You could stay in the 20's for months or years....watch your diet.  Hug
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« Reply #7 on: August 02, 2010, 10:02:16 PM »

Carol, I was originally diagnosed at stage 3 three years ago. I moved into stage 4 in December.  I was unhappy with the care I was getting because my creatinine was slowly climbing and all he thought of was putting in an access. I went for another opinion and switched nephs. Under this md's care and carefully following my diet I increased my gfr by a few points.  I am up to gfr 27. My new neph considers me stage 3.
So, following meds and diet can really work in your favor and you could stay at that stage for awhile. It takes discipline and is not easy at first but it can be done.
Hang in there and keep reading and educating yourself. There are many helpful sites that can help you with nutritional info. I know there are many people here who will help as well.
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« Reply #8 on: August 03, 2010, 03:27:15 AM »

I started with kidney problems in 1980's now am at GFR 12% been the same for 3yrs. Last time I saw my neph in June he said I would probably need dialysis by the end of this year. Try to hold it off as long as possibel as dread the thought of 3 visits a week to hospitla and 3 or 4 hr sessions.
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« Reply #9 on: August 03, 2010, 11:56:52 AM »

I think 10 is the lowest most Dr.'s let you go to.  Mine kept bouncing between 11 to 13% and started staying aroung 12.  My Neph. knew I didn't feel good, not too bad but nausea, very tired all the time and he said he would not let me get too ill especially since I was wanting to do PD dialysis and you have to be well enough to take the classes.  I felt better about a week after starting dialysis and continue to feel well, it made a big difference and I felt like I came out of a fog. 
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« Reply #10 on: August 04, 2010, 01:07:59 AM »

I started with kidney problems in 1980's now am at GFR 12% been the same for 3yrs. Last time I saw my neph in June he said I would probably need dialysis by the end of this year. Try to hold it off as long as possibel as dread the thought of 3 visits a week to hospitla and 3 or 4 hr sessions.

Is 'in centre' the only option available to you Audrey?
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« Reply #11 on: September 12, 2012, 10:17:02 PM »

im currently at gfr 8 and NOT on dialysis.

should i be worried?
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« Reply #12 on: September 12, 2012, 10:41:26 PM »

I was a walking time bomb. My creatinine was 2400 in Canadian measurements.

My creatinine was 27 in the U.S conversion/measurements.

I was close to the edge of dying. I was quite sick. Couldn't even keep a sip of water down, I'd just throw it up.

Docs were amazed how I walked into the er.   Tongue

My kidney function was 12 per cent.
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« Reply #13 on: September 14, 2012, 12:54:55 PM »

Breanna was diagnosed in Jan of this year at Stage 5.  Her Creatine level was 1055, her kidney function at that time was  less then 10%.
I don't understand anything otehr then Canadian lingo...lol    So some of this info was helpful.

Stephanie
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« Reply #14 on: September 14, 2012, 02:13:46 PM »

That's about what I am, currently dialyzing. My creatine usually flops back and forth between 850-1000 when they do labs monthly.
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« Reply #15 on: September 14, 2012, 04:11:22 PM »

im currently at gfr 8 and NOT on dialysis.

should i be worried?

Jo at 8% they should be discussing with you your options and where you will go to dialysis. Probably will be at the Pearlridge Center from best I can tell but I am in Canada like the other 2 ladies who commented after you so I can't be sure.

There is a great USA forum at http://kidneyspace.com as well as a toll free telephone number called the RSN Hope Line that might be of interest to you at 800-579-1970

(more info on Hopeline here: http://www.kidneyurology.org/pdfs/HOPEline_Postcard_8.20.pdf)

Also your local Kidney Foundation as well at http://www.kidneyhi.org/ or 808-589-5918

Also there are 2 types of dialysis:

Peritoneal Dialysis: http://www.kidney.org/atoz/pdf/peritonealdialysis.pdf

and Hemo Dialysis: http://www.kidney.org/atoz/pdf/hemodialysis.pdf

and more about dialysis: http://www.kidney.org/atoz/atozTopic_dialysis.cfm

and here is some info about GFR calculation:

http://www.kidney.org/professionals/kls/pdf/12-10-4004_KBB_FAQs_AboutGFR-1.pdf

and some basic info about CKD: http://www.kidney.org/kidneydisease/aboutckd.cfm
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